And yet, the PPACA remains standing, even as many of its political foes have fallen by the wayside.
Regardless of whether or not you support it, "Obamacare" is the law of the land and it isn't going away. Most people who work in healthcare have already accepted that reality.
Still, there remain nettlesome issues that will likely soon become political flashpoints that, depending upon a state's "Red" or "Blue" status, could leave healthcare providers in a lurch.
One big concern centers on states' efforts and their enthusiasm toward constructing health insurance exchanges that will allow consumers and small businesses to buy health insurance on the open market. The degree to which states are ready to implement these exchanges, which go into effect in 2014, varies wildly.
In May the Kaiser Family Foundation reported that 15 states would develop their own exchanges. Another Seven states said they had no plans to create exchanges, which means that the Department of Health and Human Services will step in to run the exchanges. Because a federal fallback plan is in place, the political intransigence of individual states should not be an insurmountable obstacle for the exchanges to operate.
The more pressing problem is with Medicaid.